1 / 19

Identification of Risk Factors For Body Substance Exposures

Identification of Risk Factors For Body Substance Exposures. Data at a Multi-Site Hospital System. Copyright 2000 by Elizabeth Aton. Body Substance Exposure Risk Factors. Elizabeth Aton M.S. Victoria Fraser M.D. Washington University School of Medicine (Saint Louis, MO).

JasminFlorian
Télécharger la présentation

Identification of Risk Factors For Body Substance Exposures

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Identification of Risk Factors For Body Substance Exposures Data at a Multi-Site Hospital System Copyright2000 by Elizabeth Aton

  2. Body Substance Exposure Risk Factors • Elizabeth Aton M.S. • Victoria Fraser M.D. • Washington University School of Medicine (Saint Louis, MO)

  3. Four In-Patient Sites

  4. Barnes-Jewish Hospital • Teaching hospital • U.S. Top Ten • Urban setting

  5. Christian Hospitals • Suburban setting

  6. Missouri Baptist Medical Center • Suburban setting

  7. Boone Hospital Center • Mid-Missouri

  8. Large Hospitals = 4.6 Employees/Licensed Bed (Range 4.3--4.8) • Smaller Hospitals = 4.5 Employees/Licensed Bed (Range 2.2--7.2)

  9. Barnes-Jewish Hospital Occupational Health Database • AIHCE 94, 96, 98, 99

  10. BSE Section of OH Database Expanded in 1996 • Other BJC Sites • “Phase-In” Challenges

  11. BSE Database Caveats • Under-reporting of BSEs by employees • Differing levels of facility with coding and database entry • OHN concerns

  12. Large Hospital Data Set • 1st six calendar quarters of database collection • 1,127 BSEs • Cumulative Quarterly Rate = 6.07 BSEs/100 worker years

  13. BSE Exposure Risk Factors--Unsafe Condition? • 50.9% coded as  1 unsafe condition • Most common (19.1%) unsafe condition was sharp in improper place • 8.2% were agitated patient • 5.3% were equipment failure

  14. BSE Exposure Risk Factors--Unsafe Action? • 80.5% coded as  1 unsafe action • Most common (36.8%) unsafe action was inattention to surroundings or activity • 20.1% were placement of sharp in improper place • 12.2% were failure to use, or use of inappropriate PPE

  15. BSE Exposure AssessmentInterpretations • Larger hospitals in the BJC System may have BSE risks different from smaller hospitals • There is little difference in BSE rates among larger BJC hospitals during this study period

  16. BSE Exposure AssessmentInterpretations • Continuing study of the data is indicated, to assess success of intervention strategies • Impediments to under-reporting must be managed • Impediments to data collection must be managed

  17. BSE Exposure AssessmentNext Actions • Secure OHN collaboration • Database aggregation modifications to be done by consensus • Further stratification of data, for root cause analysis • Adding cost-center productive hours, to create true rate-based indicators

  18. Questions?

More Related